K0604
HCPCS Procedure Code
HCPCS code K0604 is the #7,115 most-billed Medicaid procedure code, with $28K in payments across 3K claims from 2018–2024. The national median cost per claim is $9.27.
Total Paid
$28K
0.00% of all spending
Total Claims
3K
Providers
3
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for K0604? Based on 2 providers billing this code nationally.
Median
$9.27
Average
$9.27
Std Dev
$0.86
Max
$9.88
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.97 and $9.58 per claim for this code.
90% bill between $8.79 and $9.76.
Top 1% bill above $9.87.
About This Procedure
HCPCS code K0604 was billed by 3 providers across 3K claims, totaling $28K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.27
Providers Billing
2
National Spending
$28K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.